Active NPI
Ascellus Behavioral Health Solutions PC
- Medical Specialty Clinic/Center
- Redding, CA
National Provider Identifier
1578137196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- ASCELLUS BEHAVIORAL HEALTH SOLUTIONS PC
- Practice address
- 1267 Willis St Ste 200
Redding, CA 96001-0400 - Phone
- (561) 832-4999
- Fax
- (561) 833-9333
- NPI assigned
- May 18, 2021
- Last updated
- May 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David A Sack, MD
- Title
- President
- Phone
- (561) 832-4999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
1267 Willis St Ste 200
Redding, CA 96001-0400
Mailing address
6801 Lake Worth Rd Ste 308
Greenacres, FL 33467-2966
Phone (561) 601-3092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118-40-4370 | Other | CA | WORKERS COMPENSATION |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621296000000",
"number": "1578137196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 LAKE WORTH RD STE 308",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334672966",
"telephone_number": "561-601-3092",
"fax_number": "561-833-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 WILLIS ST STE 200",
"city": "REDDING",
"state": "CA",
"postal_code": "960010400",
"telephone_number": "561-832-4999",
"fax_number": "561-833-9333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCELLUS BEHAVIORAL HEALTH SOLUTIONS PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A",
"authorized_official_last_name": "SACK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-832-4999",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "118-40-4370",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.